NPIMap

Organization Active NPI

Crigger and Associates ENT PLLC

  • Otolaryngology Physician
  • South Charleston, WV
National Provider Identifier
1306809215
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CRIGGER AND ASSOCIATES ENT PLLC
Practice address
4607 Maccorkle Ave SW
Ste 406
South Charleston, WV 25309-1364
Phone
(304) 767-7980
Fax
(304) 767-7989
NPI assigned
Apr 11, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles D Crigger, MD
Title
President
Phone
(304) 767-7980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Audiologist 231H00000X NU

Addresses

Primary practice location

4607 Maccorkle Ave SW
Ste 406
South Charleston, WV 25309-1364

Mailing address

PO Box 9289
South Charleston, WV 25309-0289
Phone (304) 767-7980

Other identifiers 1

IdentifierTypeStateIssuer
3810004058MedicaidWV

National Provider Directory

National Provider Directory

Locations

4607 Maccorkle Ave SW
Ste 406
South Charleston, WV 25309
Phone (304) 766-4342

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1306809215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9289",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253090289",
            "telephone_number": "304-767-7980",
            "fax_number": "304-767-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW",
            "address_2": "STE 406",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-767-7980",
            "fax_number": "304-767-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIGGER AND ASSOCIATES ENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "CRIGGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-767-7980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004058",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.